MICHELLE M PELC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHELLE M

Last Name

PELC

Business Name

MICHELLE M PELC DDS

Original Issue Date

03/11/1996

Effective Date

06/10/2009

Expiration Date

09/30/2012

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012